Danise Ann Taylor
Individual provider Active NPI Homemaker · Aledo, IL
NPI 1578033643 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1578033643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 407 SW 3Rd St
Aledo, IL 61231-1803 - Phone
- (309) 337-5819
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
407 SW 3Rd St
Aledo, IL 61231-1803
Mailing address
407 SW 3Rd St
Aledo, IL 61231-1803
Phone (309) 337-5819
Other providers in Aledo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.